Marine Safety Forum

The animated safety moment video can be viewed at the Step Change in Safety link below along with the full Resource Learning Pack and the Marine Safety Investigation Report, exploring the incident, the barriers that failed and the lessons learned. Key themes include barrier management, equipment condition and risk assessment, prompting two important questions: Who else could learn from this? Could this happen here?

https://www.marinesafetyforum.org/wp-content/uploads/2026/10/msf-information-note-26.01.pdf